Assam Employee Health Assurance Scheme 2024: Registration & Benefits

Assam Employee Health Assurance Scheme:

The Assam government has launched a new scheme called the Assam Employee Health Assurance Scheme 2024.The Assam Government is starting a new health insurance plan for employees on February 1st. It started on February 1st, 2020, offering insurance coverage of INR 3 lakh for employees and their families.This article will give you all the information about the Assam Employee Health Assurance Scheme 2024. We’ll talk about its features, benefits, and goals for people living in Assam. We’ll also explain how you can apply for this scheme step by step.

Assam Employee Health Assurance Scheme 2024

The Assam Employee Health Assurance Scheme is set to benefit approximately 4.3 lakh state government employees in Assam. The authorities of the Assam Government have recently released a Request For Proposal for this scheme. Starting on February 1st, it will also cover newly recruited government employees and their families, including civil officers.

Overview Of Assam Employee Health Assurance Scheme 2024

Objective Of Assam Employee Health Assurance Scheme

The primary goal of the scheme is to offer benefits to all State Government employees in Assam. The insurance company will cover health-related expenses for these employees. Each employee will receive insurance coverage up to Rs. 300,000 per year. Additionally, new diseases like coronavirus will also be covered under this scheme, enhancing its reliability and practicality for all state employees. This scheme will provide various opportunities for State Government employees.

Eligibility Criteria To Apply

• To be eligible for this scheme, an applicant must meet the following criteria:
• Residency: The applicant must be a resident of Assam state.
• Employment: The applicant must be a State Government employee.
• Optional eligibility: Pensioner employees can also apply for this scheme on an optional basis.

Documents Required

• Government Job card
• Passport size photo
• Mobile number
• Aadhar card
• Voter ID card

Assam Employee Health Assurance Scheme Premium

Under this scheme, the Assam government will cover the insurance premiums for employees and pensioners. About 4.3 lakh State Government employees will benefit, and pensioners may also have the option to join later. The scheme offers cashless treatment through an insurance company or government-approved hospitals.

Basic Benefit Package

The additional benefit packages will be provided with insurance coverage and above original coverage for the specified diseases. This package includes all the diseases from day one and the beneficiaries will not be required to wait for the treatment.

Unspecified Procedures Under Assam Employee Health Assurance Scheme

This scheme will also cover unspecified procedures. However, coverage for these procedures is subject to a pre-authorization process managed by both the insurance company and the authority. The coverage for unspecified procedures will be capped at Rs. 3 lakh per year during the block period of the year.

Additional Benefits Packages

The additional benefit packages offer extended insurance coverage for specified diseases on top of the original coverage. This package includes coverage for all diseases from the beginning, and beneficiaries won’t need to wait for treatment.

Benefits of Assam Employee Health Assurance

• The Assam Employee Health Assurance Scheme will provide the following benefits to each state employee:
• The government will pay the insurance premiums for the Employees Health Assurance Scheme on behalf of employees and pensioners.
• Approximately 4.3 lakh State Government employees will benefit from this scheme.
• Pensioners will also be allowed to join the scheme in the future.
• Cashless treatment will be provided through an insurance company.
• The Assam government will provide empaneled hospitals for beneficiaries.
• A committee formed by the Department of Health and Family Welfare will finalize insurance and benefit packages.
• Catastrophic procedures like transplant surgeries will be covered.
• Pre-existing diseases will be covered for all beneficiaries, including coronavirus.
• Outpatient treatment is not covered.
• The scheme offers two types of benefits: Basic Benefit Package and Additional Benefits Package.
• The Basic Benefit Package includes procedure costs, implants, and room charges, with the insurer covering specified expenses in empaneled hospitals.
• The coverage is limited to Rs. 3 lakh per annum for a block period of three years.
• The Additional Benefits Package covers catastrophic illnesses from day one without any waiting period.

Assam Employee Health Assurance Scheme Registration Procedure

The Assam Employees Health Assurance 2024 scheme has been initiated by the state government to support and benefit employees. Starting from February 1st, all state employees will be enrolled automatically by the government. There’s no requirement for separate registration because the government ensures automatic inclusion. For further details, please visit the official website.

Contact Information

Health & Family Welfare Department, Government of Assam
Establishment Branch (Health – A and Health-B)
Block D (Ground Floor)
Assam Secretariat, Dispur,
Guwahati-781006 Assam

Conclusion:

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